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对肩部问题患者的物理治疗师护理中的共享决策:对录音咨询的观察者分析
Sijmen Hacquebord1,2, Henri Kiers1, Philip van der Wees2
1University of Applied Sciences Utrecht, Institute for Human Movement Studies, Heidelberglaan 7, Utrecht, CS 3584, The Netherlands.
Physical therapy
|April 4, 2025
概括
在肩部问题的物理治疗中,共享决策 (SDM) 是有限的. 较长的咨询时间和更高的物理治疗师教育与更好的SDM相关,表明患者护理需要改进的领域.
科学领域:
- 物理疗法物理治疗
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于管理在诊断和治疗肩部问题的不确定性至关重要.
- 对于肩部问题的物理治疗师咨询中SDM应用的程度仍未得到充分研究.
研究的目的:
- 为了评估SDM的水平在最初的物理治疗师咨询肩部问题.
- 在临床环境中确定影响SDM程度的因素.
主要方法:
- 一项横截面研究分析了100个录音的物理治疗师咨询,以解决肩部问题.
- 观察患者参与SDM (OPTION-5) 工具测量了SDM水平 (0-100).
- 多层次分析检查了SDM与患者,治疗师和咨询特征之间的关联.
主要成果:
- OPTION-5的平均得分为27,表明SDM应用较低.
- 没有任何协商在任何OPTION-5项目上获得"模范性努力"评分.
- 更高的SDM与更年轻的患者,更长的咨询时间和更高的物理治疗师教育水平有关.
结论:
- 肩部问题的物理治疗中的SDM需要显著改善.
- 咨询时间和治疗师教育等因素是提高SDM的关键决定因素.
- 未来的战略应针对这些决定因素,以优化临床实践中的SDM.
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